Community Health 1
These immunizations are recommended as primary prevention for hepatitis.
Hepatitis A and Hepatitis B vaccines
This is the priority community assessment action after a TB outbreak is reported?
Identify and screen exposed individuals (TB skin test or IGRA)
A client requires gastric lavage after ingesting a toxin. This nursing action is essential prior to and during the procedure.
Ensure airway protection and suction readiness; position the client to prevent aspiration.
A nurse advocating for a client is performing this primary responsibility in leadership.
Ensuring the client’s wishes, rights, and needs are communicated and upheld.
A client with new dysphagia being discharged home requires a referral to this discipline?
A speech-language pathologist
Tinea corporis presents with this classic skin appearance.
Circular, scaly patches with central clearing
After a chlamydia diagnosis, these sexual partners should be treated?
All partners from the past 60 days.
A client with sickle cell disease presents with severe pain, swelling of joints, and possible fever. This crisis is occurring.
A vaso-occlusive (painful) crisis.
This tool is commonly used in quality improvement to track client outcomes over time.
A run chart or control chart
If a client expresses concern about a scheduled procedure after signing consent, this should be the nurse’s next action.
Notify the provider so they can clarify information and readdress questions.
This is the correct method for disposing of insulin syringes at home.
Use a puncture-resistant container and follow local sharps disposal guidelines
In emergency preparedness planning, these groups should receive priority vaccination.
Children, older adults, immunocompromised individuals, and other high-risk groups.
A postpartum client is experiencing excessive bleeding. This should be the nurse’s priority action.
Massage the fundus to promote uterine contraction.
A client who needs help obtaining durable medical equipment (e.g., walker, shower chair) should be referred to this discipline.
A social worker or case manager
A nurse should file an incident report for these situations.
Any unexpected event—such as a medication error, fall, or procedural violation—even if no harm occurred.
Providing smoking cessation education represents this level of prevention.
Primary prevention
At this age, routine vision screening should begin for school-age children.
Around age 6, then routinely.
When teaching a school-age child to use an albuterol metered-dose inhaler, this is the correct sequence for administration?
Shake the inhaler → exhale → place the mouthpiece → inhale slowly while pressing → hold breath for ~10 seconds.
This type of client should not be assigned to an LPN because their condition requires initial assessment or complex clinical judgment.
A newly admitted or unstable client requiring initial assessment or complex evaluation.
Newly licensed nurses must understand that restraints require these essential actions from the care team.
A provider prescription renewed within the required time frames and ongoing RN assessment.
This early sign of measles helps identify the illness before the rash.
Koplik spots
These environmental factors increase relapse risk for clients with alcohol use disorder.
High-stress or triggering environments (e.g., family conflict, job stress).
This childhood condition presents with hyperactivity, impulsivity, difficulty maintaining attention, and often co-occurs with learning delays or intellectual disability.
ADHD with possible intellectual disability.
When floating to an unfamiliar unit, this is the nurse’s priority action before accepting client assignments.
Identify competencies and communicate limitations to the charge nurse.
These tasks can be delegated to assistive personnel (AP) when managing four stable clients.
Routine tasks such as obtaining vital signs, assisting with bathing, or ambulation for stable clients.